In my mind two hours sleep is an emergency situation - either the doctor has to give me pills or I need to catch up during the daytime.

It's important (again just my experience) to deliberately spend time winding down mentally even if I can't sleep. Because my insomnia is a learned pattern and I constantly have to remind my body how to sleep regularly.

Stuff that I use to wind down is gentle exercise and gentle music, just lying in warm comfortable place, relaxing my eyes - and finding ways to relax the controlling part of my mind. Taking time away from thinking type activities at least one hour before bedtime.

I feel concerned for you. What people have written about medication mix and side effects makes sense, but then shouldn't your doctor review the medication mix.

Is there anything that helps for you, or that you notice in your environment that might help if you did more of it? For example when I was working long hours with no sleep, I walked by a meditation class and something inside me knew that I needed to do it, despite my difficulty in relaxing my mind. That's 18 years ago and despite initial difficulty I'm still benefitting from that class.

Reflecting more, I would enourage you to observe what works for you personally. Problems letting go enough to sleep are a very personal thing, on the level of deep intimacy. The trick for me has been observing what works and doing more of it - whether it's being more patient with myself, more assertive with my doctor, or more committed to a good sleep routine.

Big hugs!